Provider Demographics
NPI:1568633220
Name:ELYSIAN HOSPICE LLC
Entity Type:Organization
Organization Name:ELYSIAN HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:UNDERHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-954-4114
Mailing Address - Street 1:16750 WESTGROVE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-5688
Mailing Address - Country:US
Mailing Address - Phone:972-224-1876
Mailing Address - Fax:972-224-1494
Practice Address - Street 1:16750 WESTGROVE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-5688
Practice Address - Country:US
Practice Address - Phone:972-224-1876
Practice Address - Fax:972-224-1494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient